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- Title
A new approach combining venoarterial extracorporeal membrane oxygenation and CRRT for adults: a retrospective study.
- Authors
Xing-Liang Zhou; Yan-He Chen; Qing-Yun Wang; Zhou, Xing-Liang; Chen, Yan-He; Wang, Qing-Yun
- Abstract
<bold>Purpose: </bold>This study aimed to assess a new approach combining venoarterial (VA) extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT) in adults, while monitoring CRRT circuit pressures.<bold>Methods: </bold>The inlet and outlet of the CRRT circuit were connected to preoxygenator port and postoxygenator port, respectively. Then, complications and CRRT circuit pressures were evaluated.<bold>Results: </bold>7 patients underwent combined VA-ECMO and CRRT; 16 filters were used. CRRT blood flow ranged from 150 to 200 mL/min; the CRRT to ECMO blood flow ratio was <0.1. The CRRT pressures at treatment initiation were normal. No complications were reported.<bold>Conclusions: </bold>This approach combining VA-ECMO and CRRT in adults did not compromise the accuracy of pressure monitoring systems for CRRT circuit function, and caused no complications. Hence, it may be a feasible method for performing combined VA-ECMO and CRRT in adults.
- Subjects
BLOOD pressure; BLOOD pressure measurement; CARDIOGENIC shock; EXTRACORPOREAL membrane oxygenation; HEMODIALYSIS; PILOT projects; TREATMENT effectiveness; RETROSPECTIVE studies; THERAPEUTICS
- Publication
International Journal of Artificial Organs, 2017, Vol 40, Issue 7, p345
- ISSN
0391-3988
- Publication type
journal article
- DOI
10.5301/ijao.5000597